Basic Information
Provider Information
NPI: 1235390030
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAMIM
FirstName: ARANG
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2625 E DIVISADERO ST
Address2:  
City: FRESNO
State: CA
PostalCode: 937211431
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2823 FRESNO ST
Address2:  
City: FRESNO
State: CA
PostalCode: 937211324
CountryCode: US
TelephoneNumber: 5594596000
FaxNumber: 5594595097
Other Information
ProviderEnumerationDate: 06/24/2008
LastUpdateDate: 02/09/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/09/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XA112682CAN Allopathic & Osteopathic PhysiciansHospitalist 
207RI0011XA112682CAY Allopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
207R00000XA112682CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000XA112682CAN Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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